🩺 Caring for the umbilical cord

What you'll need

• Soap and water for your hands.
• Clean water and clean gauze or a soft cloth if the stump becomes dirty.
• A clean nappy folded below the stump.

Everyday cord care

1. 1. Wash and look

   Wash your hands before touching the area. Check for redness spreading onto the tummy, swelling, discharge or an unpleasant smell.

2. 2. Clean only when needed

   If urine or poo gets on the stump, clean gently with water and pat dry. A clean stump does not need routine soaking or scrubbing.

3. 3. Keep it dry and uncovered

   Fold the nappy below the stump and use loose clothing. Do not apply oils, herbs, powders, alcohol or antiseptic unless your clinician specifically recommends a product.

4. 4. Let it separate naturally

   Do not pull, even when it is barely attached. A small spot of blood can occur as it separates; persistent bleeding needs medical assessment.

5. 5. Get help for warning signs

   Seek prompt assessment for spreading redness, pus, bad smell, poor feeding or unusual sleepiness. A baby under 3 months with a temperature of 38°C or above needs urgent medical assessment. Ask your maternity team or primary health centre if separation or healing seems delayed.

Classic mistakes

• ❌ Covering the stump tightly Avoid belly binders, coins or dressings unless prescribed. They can rub the area and trap moisture.
• ❌ Using a remedy instead of seeking care Family and faith practices vary across Nigeria and are optional. Agree with anyone helping that your consent and your maternity team's cord-care instructions come first. Keep any chosen ritual compatible with clean, dry cord care; herbal remedies must not replace assessment of possible infection.

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